Research advances of tubeless thoracic surgery for pulmonary nodules: current status and future challenges
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By
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Hengyu Li
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Lei Zhao
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Hui Tian
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May 25, 2026
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Clinical Scorecard: Progress in Tubeless Thoracic Surgery for Pulmonary Nodules: Present Insights and Future Obstacles
At a Glance
| Category | Detail |
|---|
| Condition | Pulmonary nodules |
| Key Mechanisms | Tubeless technology minimizes invasive procedures, preserving spontaneous ventilation and reducing postoperative complications. |
| Target Population | Patients with peripheral small nodules (≤2–3 cm), including ground-glass nodules, subsolid nodules, and small solid nodules. |
| Care Setting | Experienced centers performing minimally invasive thoracic surgery. |
Key Highlights
- Reductions in laryngeal edema, postoperative nausea and vomiting, pain, and hospital stay observed.
- Risks include intraoperative hypercapnia and potential need for conversion to intubation.
- Long-term oncological safety remains unconfirmed.
- Tubeless technology may optimize perioperative management and enhance recovery.
- Future directions include integrating advanced navigation techniques and artificial intelligence.
Guideline-Based Recommendations
Diagnosis
- Histological diagnosis is essential for highly suspicious nodules.
Management
- Surgical resection is recommended for confirmed or strongly suspected malignancy.
Monitoring & Follow-up
- Careful selection of patients for Tubeless surgery is crucial.
Risks
- Consideration of complications from traditional intubation and drainage procedures.
Patient & Prescribing Data
Patients with small peripheral pulmonary nodules.
Tubeless surgery may reduce postoperative pain and enhance recovery.
Clinical Best Practices
- Utilize Tubeless technology in selected patients to minimize complications.
- Focus on preserving spontaneous ventilation during surgery.
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